NPIMap

Individual provider Active NPI

Craig Lelland Lastine, MD

  • Diagnostic Radiology Physician
  • Grand Junction, CO
National Provider Identifier
1891753497
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0044010 Issued in CO
Practice address
2021 N 12TH St
Grand Junction, CO 81501-2980
Phone
(970) 242-0920
Fax
(406) 587-1343
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0044010 CO Primary

Addresses

Primary practice location

2021 N 12TH St
Grand Junction, CO 81501-2980

Mailing address

PO Box 308
Montrose, CO 81402-0308
Phone (970) 497-8416

Other identifiers 3

IdentifierTypeStateIssuer
152524MedicaidMT
06350003MedicaidCO
0152507MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051109000267 CO Practitioner - Diagnostic Radiology 2668462490 Reassigns benefits to 4 organizations
I20161215001382 TX Practitioner - Diagnostic Radiology 2668462490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

2006 Crossbow LN
Arlington, TX 76001-8411
Phone (877) 406-2916

5818 N Nevada Ave
Suite 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130
  • San Luis Valley Health Conejos County Hospital Hospital, La Jara, CO, CCN 061308

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 25, 2019 Accepting new patients
Uchealth Imaging Services, LLC CurrentSince Mar 1, 2022 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 25, 2019 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Advanced Imaging LLC Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Radiology Services, P.C. Diagnostic Radiology Past Accepting new patients
Deaconess Intercity Imaging LLC PastSince Aug 1, 2005 Accepting new patients

Locations (25 of 36)

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

175 S Union Blvd
Ste 340
Colorado Springs, CO 80910
Phone (719) 365-5242

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

8115 Voyager Pkwy
Colorado Springs, CO 80920
Phone (719) 203-3300

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1891753497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020308",
            "telephone_number": "970-497-8416",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012980",
            "telephone_number": "970-242-0920",
            "fax_number": "406-587-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTINE",
        "first_name": "CRAIG",
        "middle_name": "LELLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0044010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152524",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06350003",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152507",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.